Individual
JAY MAINTHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4199 WASHINGTON STREET, SUITE 1, ROSLINDALE, MA 02131
(617) 323-4440
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1015761
MA
207Q00000X
Family Medicine Physician
Primary
3014441
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110201935A
—
MA
Enumeration date
05/11/2021
Last updated
05/11/2026
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